{"ref":"PA-HC-COR-01","title":"Coordination with Service Coordinators, Managed Care Organizations, and Other Providers","category":"Service delivery","summary":"Sets out how the Agency works with the consumer’s family and representative, physician, home health and hospice providers and, for waiver participants, the service coordinator and managed care organization: what workers report about changes in the consumer, who the supervisor contacts and how quickly, what information may be shared, and how the Agency stays within its non-skilled scope when other care is needed.","inShort":["Report any change in the consumer to your supervisor before the visit ends. In an emergency, call 911 first.","Your supervisor tells the family, physician or service coordinator. Do not share consumer information yourself.","Never text or post about a consumer. Information goes through the office only.","If the consumer also has home health or hospice, do only your home care tasks, never a skilled task.","Tell the office if a consumer goes into the hospital, so visits can be put on hold."],"primaryCitation":"55 Pa. Code §52.14(o)","citations":["55 Pa. Code §52.14(o)","55 Pa. Code §52.25","55 Pa. Code §52.29","55 Pa. Code §52.17","28 Pa. Code §611.55(b)(4)","28 Pa. Code §611.5"],"federalCitations":["45 CFR §164.506"],"surveyorAsks":["What does a worker do when they notice a change in a consumer? Show me an example and the follow-up.","How and when do you tell a waiver participant’s service coordinator about a change or an incident?"],"forms":[{"ref":"PA-HC-COR-01-A","title":"Change in Condition and Coordination Note"}],"headings":["Terms of Reference","1. Purpose","2. Scope","3. Definitions","4. Policy Statement (55 Pa. Code §52.14(o))","5. Who the Agency Coordinates With","6. Reporting Changes in the Consumer","7. Hospital Stays and Returning Home","8. Sharing Information Safely","9. Working Alongside Home Health and Hospice","10. Responsibilities","11. Records and Compliance Monitoring","12. Staff Training","13. References","14. Related Policies and Forms","15. Approval","16. Revision History"],"version":"1.0","sample":false,"pack":"pa-hca","state":"Pennsylvania","service":"Home care","guides":[{"path":"/guides/home-care-agency-policies/","h1":"What policies does a home care agency need?"}],"agency":{"name":"Sample Agency","legalName":"Sample Agency, LLC","logo":null}}